Montclair Family Eyecare
NPI 1669226767ActiveOrganization· Optometrist· Montclair, NJ
Optometrist in Montclair, New Jersey, registered in NPPES in April 2024. The authorized official on file is Andrea Antonelli, OD, Authorized Official/Od. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669226767 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2024 |
| Last updated in NPPES | Apr 15, 2024 |
| Certified by provider | Apr 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other Optometrist providers in Montclair
- 1396701959
- 1740847797
- 1538340633
- 1770571580
- 1073308318
- 1902110455
- 1003872144
- 1285698688
- 1487649356
- 1942683917
- 1073642302
- 1033942354